Rate and Predictors of Blood Pressure Control in a Federal Qualified Health Center in Michigan: A Huge Concern?
| Autor: | Nephertiti Efeovbokhan, Nirzari Pandya, Margaret Holmes-Rovner, Jason L. Huang, Kamesh Parashar, Venu Gourineni, Adesuwa Olomu, Janaki Samaraweera |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Financing Government Michigan Pediatrics medicine.medical_specialty Endocrinology Diabetes and Metabolism education Blood Pressure Comorbidity Coronary Artery Disease Logistic regression Ambulatory Care Facilities Coronary artery disease Sex Factors Risk Factors Diabetes mellitus Diabetes Mellitus Internal Medicine medicine Humans Antihypertensive Agents Retrospective Studies Medically Uninsured business.industry Retrospective cohort study Odds ratio Blood Pressure Monitoring Ambulatory Middle Aged medicine.disease Original Papers Logistic Models Outcome and Process Assessment Health Care Blood pressure Hypertension Cohort Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | J Clin Hypertens (Greenwich) |
| ISSN: | 1524-6175 |
| DOI: | 10.1111/jch.12067 |
| Popis: | Hypertension (HTN) is particularly burdensome in low‐income groups. Federal‐qualified health centers (FQHCs) provide care for low‐income and medically underserved populations. To assess the rates and predictors of blood pressure (BP) control in an FQHC in Michigan, a retrospective analysis of all patients with HTN, coronary artery disease, and/or diabetes mellitus (DM) seen between January 2006 and December 2008 was conducted. Of 212 patients identified, 154 had a history of HTN and 122 had DM. BP control was achieved in 38.2% of the entire cohort and in 31.1% of patients with DM. The mean age was lower in patients with controlled BP in both the total population (P=.05) and the DM subgroup (P=.02). A logistic regression model found only female sex (odds ratio, 2.27; P=.02) to be associated with BP control and a trend towards an association of age with uncontrolled BP (odds ratio, 0.97; P=.06). BP control in nondiabetics was 47.8% vs 31.1% in diabetic patients (P=.02). We found that patients who attended the FQHC had a lower rate of BP control compared with the national average. Our study revealed a male sex disparity and significantly lower rate of BP control among DM patients. |
| Databáze: | OpenAIRE |
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